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2013-01-25_INSPECTION - M1983141
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2013-01-25_INSPECTION - M1983141
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Entry Properties
Last modified
8/24/2016 5:12:23 PM
Creation date
1/28/2013 3:41:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983141
IBM Index Class Name
INSPECTION
Doc Date
1/25/2013
Doc Name
DISCHARGE PERMIT APPLICATION
From
GOLD HILL MINES
To
DRMS
Email Name
MAC
Media Type
D
Archive
No
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OUTFALL <br />LATITUDE <br />LONGITUDE <br />RECEIVING WATERS' <br />* Give Formation Name for Discharges to Ground Water <br />001 <br />4 °03'38.605 <br />105 °23'57.548 <br />Boulder Creek Granite <br />FACILITY FRONT <br />DOOR <br />APPLICATION for DISCHARGES ASSOCIATED WITH HARDROCK MINING AND /OR MILLING <br />21. For each outfall provide the latitude, longitude and receiving water and indicate the method used to derive this information. Use <br />additional sheets if necessary. Please refer to instructions. <br />For each outfall to surface water or discharge to ground water, provide latitude /longitude and receiving water <br />The following choices for the data acquisition are listed in order of preference. Please check the box that applies to the method used <br />for collection of the locational data of your Facility and Discharge points. <br />Global Positioning System (GPS) unit accurate to within 30 yards. <br />Global Positioning System (GPS) unit accurate to greater than 30 yards. <br />Global Positioning System (GPS) unit accuracy unknown. <br />Point on original USGS topographic map. <br />Engineering drawing /plan with latitude and longitude reference. <br />Other. Explain <br />22. Are the receiving waters, indicated in item 21, a ditch or storm sewer? II NO ❑ YES <br />If YES, submit documentation that the owner of the ditch or storm sewer allows this discharge. No permit will be processed unless <br />documentation of approval is received. <br />23 Do you have a certified operator? II NO ❑ YES <br />If yes, please list name(s), certification number(s) and certification level(s). <br />Revised 4/2011 <br />
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